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HospitalNacogdoches Medical Center Estimated FY2026 net: −$139K×

Hospital record · FY2026CCN 450656

1Hospital

Nacogdoches Medical Center

2Location

Nacogdoches, TX (Texas’s hospitals on the map and in the table) 75965

Nacogdoches County

3Type

Not a teaching hospital · 140 beds · Nonprofit · Rural · Rural referral center

4Care Compare stars

3 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

−0.2799

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $190K, likely $145⁠–⁠239K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.2799 for Nacogdoches Medical Center and a payment reduction decision of No.

A cut would have taken about $190K estimate 1% of about $19.0M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.6598 under 0.3799, the lowest score CMS cut.

Likely range $145–239K

Its score was at or below CMS’s line, so this program did not cut its Medicare payments for the year. The score compares hospitals with each other; it is not a grade of the quality of care.

CMS cut scores of 0.3799 and above.

Each year CMS cuts the hospitals with the highest quarter of scores, those above the 75th percentile, so the line moves with other hospitals’ scores.

highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.2799 This hospital −0.2799 lowest −1.4728 highest 2.3133 1% cut Middle hospital: −0.0453 Middle hospital−0.0453 CMS’s line: 0.3799 and up CMS’s line0.3799 and up This hospital: −0.2799 This hospital −0.2799

Higher than 33% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  12. 26No

Where the score came from

CMS scored this hospital on all 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing CLABSI down to the national median (0.559) would lower the score the most: by 0.1566, to −0.4365. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 2; CLABSI added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Better than 60% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value0.9381

    Z-score−0.3516

    Part of score−0.0586

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    added the most

    Central line–associated bloodstream infections

    Worse than 79% of the other 2,181 hospitals

    CMS value0.964

    Z-score0.8298

    Part of score+0.1383

  3. CAUTI (what it counts)

    Urinary tract infections that start from a urinary catheter, a tube that drains the bladder. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Catheter-associated urinary tract infections

    Worse than 68% of the other 2,354 hospitals

    CMS value0.674

    Z-score0.3061

    Part of score+0.0510

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Better than 50% of the other 2,269 hospitals

    CMS value0.784

    Z-score−0.1135

    Part of score−0.0189

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Better than 80% of the other 2,766 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0071. How this site estimates

    CMS value0.147

    Z-score−0.8930

    Part of score−0.1488

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Better than 87% of the other 2,067 hospitals

    CMS value0.000

    Z-score−1.4573

    Part of score−0.2429

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.93810.9623−0.3516−0.0586Better than 60% of the other 2,808 hospitals
CLABSI0.9640.5590.8298+0.1383Worse than 79% of the other 2,181 hospitals
CAUTI0.6740.4890.3061+0.0510Worse than 68% of the other 2,354 hospitals
SSI0.7840.795−0.1135−0.0189Better than 50% of the other 2,269 hospitals
CDI0.1470.346−0.8930−0.1488Better than 80% of the other 2,766 hospitals
MRSA0.0000.641−1.4573−0.2429Better than 87% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(−0.3516PSI 90+0.8298CLABSI+0.3061CAUTI−0.1135SSI−0.8930CDI−1.4573MRSA)÷6measures=−0.2799Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.2799; CMS reports −0.2799. The small difference is rounding.

This hospital’s score is 0.6598 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.2799, below CMS’s line.
1% cut PSI 90: z‑score −0.3516 divided by 6 = −0.0586PSI 90−0.0586 CLABSI: z‑score 0.8298 divided by 6 = +0.1383CLABSI+0.1383 CAUTI: z‑score 0.3061 divided by 6 = +0.0510CAUTI+0.0510 SSI: z‑score −0.1135 divided by 6 = −0.0189SSI−0.0189 CDI: z‑score −0.8930 divided by 6 = −0.1488CDI−0.1488 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: −0.2799Score−0.2799 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.4−0.20.00.20.4 1% cut PSI 90: z‑score −0.3516 divided by 6 = −0.0586PSI 90−0.0586 CLABSI: z‑score 0.8298 divided by 6 = +0.1383CLABSI+0.1383 CAUTI: z‑score 0.3061 divided by 6 = +0.0510CAUTI+0.0510 SSI: z‑score −0.1135 divided by 6 = −0.0189SSI−0.0189 CDI: z‑score −0.8930 divided by 6 = −0.1488CDI−0.1488 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: −0.2799Score−0.2799 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.4−0.20.00.20.4

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 90−0.3516−0.0586−0.0586
CLABSI0.8298+0.13830.0797
CAUTI0.3061+0.05100.1307
SSI−0.1135−0.01890.1118
CDI−0.8930−0.1488−0.0370
MRSA−1.4573−0.2429−0.2799
Total HAC Score−0.2799
CMS’s line0.37920.3799

The money is a cliff

This program’s cut doesn’t grow with the score. Over CMS’s line, CMS cuts 1% of what traditional Medicare pays a hospital for inpatient stays that year; at or under the line, this program cuts nothing.

The chart draws what the cut would be for this hospital at any Total HAC Score, from this site’s estimate of its payments, with its own score marked.

Figure 3. The cut is a cliff, not a slope: this hospital’s score, 0.6598 under the lowest score CMS cut, costs it nothing; 0.6598 higher, the cut would have been about $190K by this site’s estimate, the same as at CMS’s highest score, 2.3133.
CMS’s line $0 at any score up to 0.3792 $190K at any score from 0.3799 $0at any score up to 0.3792 $190K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.2799 This hospital −0.2799 CMS’s line $0 at any score up to 0.3792 $190K at any score from 0.3799 $0at any score up to 0.3792 $190Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.2799 This hospital −0.2799

Under the axis, every Total HAC Score CMS published: 306 of the 2,929 scored within 0.1 of CMS’s line, on one side or the other.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
ScoreTotal HAC ScoreEstimated HAC cut (whole dollars)
Any score up to 0.37920.3792$0
Any score from 0.37990.3799−$190,199
This hospital−0.2799$0
CMS’s highest score2.3133−$190,199

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($19,158,711payment−$63,249readmissions−$75,516value-based)×1%the cut=$190,199at stake

$190,199at stake÷1,365traditional Medicare stays=$139per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $190K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$63K and −$76K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $16,217,770
Many low-income patients (disproportionate share) $349,493
Outliers: unusually costly stays $141,743
Capital: buildings and equipment $1,269,596
Uncompensated care $1,180,109
Total, before the three programs $19,158,711
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9961 − 1) −$63,249
Value-based purchasing (HVBP) base × (0.9953 − 1) −$75,516
After these two $19,019,946
HAC Reduction Program no cut; 1% would have been $190,199 $0
Net of the three programs likely −$163K to −$112K −$138,765

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, a sole community hospital rate difference, and a low-volume adjustment.

Whole dollars, so every line adds up; the estimate is not that precise. Each likely range spans the middle 80% of the misses this site’s estimate made for similar hospitals (or for a wider group, where there were too few) when it was checked against their FY2024 cost reports: one year’s check, not a promise of how often a hospital’s actual figure lands inside.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
LineAmount (whole dollars)
DRG payments at the federal rates (the base)$16,217,770
Many low-income patients (disproportionate share)$349,493
Outliers: unusually costly stays$141,743
Capital: buildings and equipment$1,269,596
Uncompensated care$1,180,109
Total, before the three programs$19,158,711
Readmissions (HRRP) (base × (0.9961 − 1))−$63,249
Value-based purchasing (HVBP) (base × (0.9953 − 1))−$75,516
After these two$19,019,946
HAC Reduction Program (no cut; 1% would have been $190,199)$0
Net of the three programs (likely −$163K to −$112K)−$138,765

What if a measure were different?

Change a measure’s value to see how this site recomputes the Total HAC Score, the payment reduction decision and, by its estimate, the money, starting from CMS’s values. The money doesn’t slide with the score: it drops off a cliff at CMS’s line.

The what-if needs JavaScript. Without it, the values below stay as they are.

Show table
CMS reportsHypothetical
Total HAC Score−0.2799same
Payment reduction decisionNosame
Payment cut0%same
Estimated HAC cut estimate$0same

CMS’s line: between 0.3792 and 0.3799

The faint ticks are CMS’s line in earlier years under the same formula, from about 0.300 (FY2022) to about 0.375 (FY2024). The line moves every year, so a hospital can cross it without changing anything.

CMS reports a Total HAC Score of −0.2799 and a payment reduction decision of No.

A what-if shows the formula’s arithmetic, not what a hospital could realistically change or how. CMS’s real result also depends on other hospitals.

How much cushion?

Staying at or under CMS’s line keeps about $190K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps No
PSI 90any value: every PSI 90 value past the cap (1.3482) scores the same
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIany value: every SSI value past the cap (2.118) scores the same
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAany value: every MRSA value past the cap (1.762) scores the same

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 0.9381 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.964 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.674 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.784 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.147 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.000 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CLABSI added the most to this hospital’s Total HAC Score of −0.2799 among its measured results: +0.1383.
  • PSI 90 −0.0586
  • CLABSI +0.1383
  • CAUTI +0.0510
  • SSI −0.0189
  • CDI −0.1488
  • MRSA −0.2429

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

This site recomputes · Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 90−0.3516−0.0586same
CLABSI0.8298+0.1383same
CAUTI0.3061+0.0510same
SSI−0.1135−0.0189same
CDI−0.8930−0.1488same
MRSA−1.4573−0.2429same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/450656/

Among hospitals with a Yes or No payment decision, CMS cut those with a published Total HAC Score of 0.3799 or higher and none at 0.3792 or lower. Maryland’s hospitals are scored but not subject to the reduction.

Held fixed: every other hospital’s results, CMS’s line, and each measure’s mean, spread, floor and cap as this site fits them to CMS’s published values.

Year by year

Where this hospital’s score fell among every hospital’s, each year CMS published one. A score near the top is among the highest; the shaded band is where CMS cut. Places compare across years even where CMS changed how it builds the score.

Figure 6. CMS made a decision on this hospital in 11 years and never cut it.
highest middle lowest z‑scoresequal weights no scores FY2015: score 3.0750, higher than 15% of scores; not cutFY2016: score 3.5000, higher than 16% of scores; not cutFY2017: score 1.9600, higher than 7% of scores; not cutFY2018: score −0.5745, higher than 18% of scores; not cutFY2019: score −0.6138, higher than 17% of scores; not cutFY2020: score −0.5178, higher than 19% of scores; not cutFY2021: score −0.2031, higher than 37% of scores; not cutFY2022: score 0.2197, higher than 70% of scores; not cutFY2024: score −0.5921, higher than 15% of scores; not cutFY2025: score −0.1027, higher than 44% of scores; not cutFY2026: score −0.2799, higher than 33% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 3.0750, higher than 15% of scores; not cutFY2016: score 3.5000, higher than 16% of scores; not cutFY2017: score 1.9600, higher than 7% of scores; not cutFY2018: score −0.5745, higher than 18% of scores; not cutFY2019: score −0.6138, higher than 17% of scores; not cutFY2020: score −0.5178, higher than 19% of scores; not cutFY2021: score −0.2031, higher than 37% of scores; not cutFY2022: score 0.2197, higher than 70% of scores; not cutFY2024: score −0.5921, higher than 15% of scores; not cutFY2025: score −0.1027, higher than 44% of scores; not cutFY2026: score −0.2799, higher than 33% of scores; not cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20153.075015.5%not cut
FY20163.500016.7%not cut
FY20171.96007.4%not cut
FY2018−0.574518.0%not cut
FY2019−0.613817.2%not cut
FY2020−0.517819.0%not cut
FY2021−0.203137.1%not cut
FY20220.219770.4%not cut
FY2023no decision
FY2024−0.592115.1%not cut
FY2025−0.102744.9%not cut
FY2026−0.279933.3%not cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 7. 2 of its 4 infection measures ended lower than they started.
CLABSI 0.00 → 0.44 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 0.000CLABSI, 2019: 1.811CLABSI, 2021: 0.834CLABSI, 2022: 0.000CLABSI, 2023: 1.583CLABSI, 2024: 0.443 CAUTI 0.82 → 0.87 1 0 ’18’21’24 CAUTI, 2017: 0.822CAUTI, 2018: 0.780CAUTI, 2019: 0.431CAUTI, 2021: 1.300CAUTI, 2022: 0.000CAUTI, 2023: 0.354CAUTI, 2024: 0.872 SSI, colon 0.98 → 0.41 1 0 ’18’21’24 SSI, colon, 2017: 0.982SSI, colon, 2018: 0.645SSI, colon, 2019: 1.053SSI, colon, 2021: 1.443SSI, colon, 2023: 0.915SSI, colon, 2024: 0.405 C. diff 0.55 → 0.17 1 0 ’18’21’24 C. diff, 2017: 0.547C. diff, 2018: 0.468C. diff, 2019: 0.444C. diff, 2021: 0.848C. diff, 2022: 1.042C. diff, 2023: 0.115C. diff, 2024: 0.171 CLABSI 0.00 → 0.44 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 0.000CLABSI, 2019: 1.811CLABSI, 2021: 0.834CLABSI, 2022: 0.000CLABSI, 2023: 1.583CLABSI, 2024: 0.443 CAUTI 0.82 → 0.87 1 0 ’18’20’22’24 CAUTI, 2017: 0.822CAUTI, 2018: 0.780CAUTI, 2019: 0.431CAUTI, 2021: 1.300CAUTI, 2022: 0.000CAUTI, 2023: 0.354CAUTI, 2024: 0.872 SSI, colon 0.98 → 0.41 1 0 ’18’20’22’24 SSI, colon, 2017: 0.982SSI, colon, 2018: 0.645SSI, colon, 2019: 1.053SSI, colon, 2021: 1.443SSI, colon, 2023: 0.915SSI, colon, 2024: 0.405 C. diff 0.55 → 0.17 1 0 ’18’20’22’24 C. diff, 2017: 0.547C. diff, 2018: 0.468C. diff, 2019: 0.444C. diff, 2021: 0.848C. diff, 2022: 1.042C. diff, 2023: 0.115C. diff, 2024: 0.171

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearCLABSICAUTISSI, colonC. diff
20170.0000.8220.9820.547
20180.0000.7800.6450.468
20191.8110.4311.0530.444
20210.8341.3001.4430.848
20220.0000.0001.042
20231.5830.3540.9150.115
20240.4430.8720.4050.171

Among hospitals like it

Each row is a group this hospital belongs to, drawn from every hospital in it with a payment decision. Red columns are hospitals past CMS’s line, the ones CMS cut; the short tick is the group’s middle score.

In Texas, its score is higher than 44% of the other 254 scored there.

Figure 8. Its score is below the middle in all 7 groups it belongs to; the share cut runs from 13% (Texas) to 32% (Rural).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas 255 hospitals13% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural 619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: −0.2799 This hospital −0.2799 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas255 hospitals13% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: −0.2799 This hospital −0.2799

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045333%
South region1,17426322%−0.105636%
Texas2553213%−0.236844%
Not teaching1,56338925%−0.105338%
100 to 299 beds1,19327523%−0.073234%
Nonprofit1,83047826%−0.013430%
Rural61919632%0.022934%
This hospital−0.2799
CMS’s line0.37920.3799

The nearest hospitals

The 8 closest hospitals with a Total HAC Score, in a straight line. The squares are each hospital’s measures in order: filled, above the national median; open, at or below it; hatched, assigned by CMS; blank, not scored.

Figure 9. CMS cut none of the 8 nearest hospitals; the closest is 3 miles away.
10 mi25 mi50 mi8. CHRISTUS Good Shepherd Medical Center, Longview: score −0.5663, not cut, 59 miles87. Palestine Regional Medical Center, Palestine: score −0.8306, not cut, 57 miles76. UT Health East Texas Jacksonville Hospital, Jacksonville: score −0.4424, not cut, 42 miles65. UT Health East Texas Carthage Hospital, Carthage: score −1.4622, not cut, 40 miles54. UT Health East Texas Henderson Hospital, Henderson: score −0.4306, not cut, 36 miles43. Woodland Heights Medical Center, Lufkin: score −0.6119, not cut, 25 miles32. CHI St Lukes Health Memorial Lufkin, Lufkin: score 0.2840, not cut, 22 miles21. Nacogdoches Memorial Hospital, Nacogdoches: score 0.2293, not cut, 3 miles1This hospital: Nacogdoches Medical Center

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
HospitalMilesScoreDecision
Nacogdoches Memorial Hospital, Nacogdoches, TX30.2293not cut
CHI St Lukes Health Memorial Lufkin, Lufkin, TX220.2840not cut
Woodland Heights Medical Center, Lufkin, TX25−0.6119not cut
UT Health East Texas Henderson Hospital, Henderson, TX36−0.4306not cut
UT Health East Texas Carthage Hospital, Carthage, TX40−1.4622not cut
UT Health East Texas Jacksonville Hospital, Jacksonville, TX42−0.4424not cut
Palestine Regional Medical Center, Palestine, TX57−0.8306not cut
CHRISTUS Good Shepherd Medical Center, Longview, TX59−0.5663not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Nacogdoches Memorial HospitalNacogdoches, TX30.2293No cut$0Above the national median on 2 of 4 measures
2CHI St Lukes Health Memorial LufkinLufkin, TX220.2840No cut$0Above the national median on 4 of 6 measures
3Woodland Heights Medical CenterLufkin, TX25−0.6119No cut$0Above the national median on 2 of 6 measures
4UT Health East Texas Henderson HospitalHenderson, TX36−0.4306No cut$0Above the national median on 2 of 3 measures
5UT Health East Texas Carthage HospitalCarthage, TX40−1.4622No cut$0Above the national median on 0 of 1 measures
6UT Health East Texas Jacksonville HospitalJacksonville, TX42−0.4424No cut$0Above the national median on 0 of 2 measures
7Palestine Regional Medical CenterPalestine, TX57−0.8306No cut$0Above the national median on 1 of 4 measures
8CHRISTUS Good Shepherd Medical CenterLongview, TX59−0.5663No cut$0Above the national median on 2 of 6 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

How the program works, and how to find another hospital

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Nacogdoches Medical Center, Nacogdoches, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/450656/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.